<%@ page language="java" contentType="text/html; charset=UTF-8"
    pageEncoding="UTF-8"%>
    <%@ include file="/common/include/page.jsp" %>
<!DOCTYPE html>
<html lang="zh-CN">
<head>
<title>个人信息修改 - 用户中心</title>
<%@ include file="/common/include/title.jsp" %>
</head>
	<body>
	<!-- 网页头部开始 -->
	<%@ include file="/common/include/header.jsp" %>
		<div class="row">
			<div class="col-sm-8 col-sm-offset-1 main">
				<h2 class="sub-header">更新银行卡</h2>
				
				<form id="form" class="form-horizontal" action="/usersCenter-head/head/users/usersUpdateSubmit.html">
					<input name="operType" value="update" type="hidden">
					<div class="form-group">
						<label for="email" class="col-sm-2 control-label">名称:</label>
						<div class="col-sm-8">
							<input id="email" name="nickName" value="" class="form-control" placeholder="名称" type="text">
						</div> 
					</div>
					<div class="form-group">
						<label for="email" class="col-sm-2 control-label">卡号:</label>
						<div class="col-sm-8">
							<input id="email" name="nickName" value="" class="form-control" placeholder="卡号" type="text">
						</div> 
					</div>
					<div class="form-group">
						<label for="regionId" class="col-sm-2 control-label">地区:</label>
						<div class="col-sm-8">
							<input class="sr-only" name="regionId" id="regionId" value="0" type="text">
							<span>
								选择:
								<select id="region1" onchange="return selectRegion('region1','region2','regionId');">
									<option value="">请选择</option>
								</select>
								<select id="region2" onchange="return selectRegion('region2','region3','regionId');">
								</select>
								<select id="region3" onchange="return selectRegion('region3','region4','regionId');">
								</select>
							</span>
						</div>
					</div>
					<div class="form-group">
						<label for="address" class="col-sm-2 control-label">详细地址:</label>
						<div class="col-sm-8">
							<textarea rows="5" cols="80" id="address" name="address" class="form-control"></textarea>
						</div>
					</div>
					<div class="form-group">
						<label for="address" class="col-sm-2 control-label">状态:</label>
						<div class="col-sm-8">
							<label class="radio-inline">
								<input name="sex" type="radio">启用
							</label>
							<label class="radio-inline">
								<input name="sex" type="radio">禁用
							</label>
						</div>
					</div>
					<div class="form-group">
						<div class="col-sm-8 col-sm-offset-2">
							<button class="btn btn-lg btn-primary" type="submit">提交</button>
						</div>
					</div>
				</form>
			</div>
		</div>
	<%@ include file="/common/include/footer.jsp" %>	
	</body>
</html>